Essays on Ulcer

The use of skin care bundle among hospitalized adult sick people can reduce the risk of skin breakdown compared to standard care of practice Pressure ulcers are a common problem in acute care hospitals, specifically among obese patients in intensive care units. Pressure ulcers or sores are common, serious but preventable health issues in the healthcare system. Pressure ulcers are associated with low quality of life, increased expenditure, increase hospital stay, and poor health outcomes (Bhattacharya & Mishra 2015). Hospital-acquired pressure ulcers (HAPU) are preventable if repositioning and turning techniques. However, the evidence on the effectiveness on these techniques is ...

Introduction

Evidenced Based Practice (EBP) is a critical appraisal spearheaded to deal with the rising cases of diseases and the unsustainable economic burden that is bestowed upon the victims based on the external evidence (Evidenced-based healthcare and public health, 2009). The sole purpose of evidence-based program is to enable the health practitioners to reach an optimal healthcare wellness with the cost-effective quality. The research presented by Hood (2014) as discussed in this study avails various practices in the paragraphs. Evidence based practice is the essential tool required by clinicians in the provision of excellent health services to the patients. The ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Introduction

Nutritional therapy is gaining popularity in the treatment and management of diseases. This paper will seek to address two disease conditions that have employed the use of nutritional therapy in their treatment and management regimens. The diseases which will be discussed include peptic ulcers and type 2 diabetes.

Condition 1- Peptic ulcers

Condition Description/ diagnostic criteria A peptic ulcer is a disease that is noted to affect the stomach as well as the duodenum region (the proximal bit). The diagnosis of the disease is based on the presence of clinical features as well as the use of specific laboratory tests. Diagnosis is not ...

XAP Task 1

XAP Task 1

Introduction

Various studies are pertaining to the nursing discipline are available in journals and on the web. Understanding these pieces of information is essential when it comes to increasing one’s knowledge towards the nursing discipline. Normally, these studies encompassing the nursing practice are based on the evidence gathered either through quantitative or qualitative method of research. An exploratory type of research that aims to establish an understanding about the related motivations, opinions, and reasons is the main characteristics of a qualitative research. On the other hand, the quantitative approach aims to gain understanding of the topic ...

This paper focuses on how to reduce pressure ulcer rates and the tools and strategies to be used to improve the quality of the service provided. Pressure ulcers can mostly be prevented and using initiatives to prevent pressure ulcers from developing can improve the health care process and reduce the rates of pressure ulcers developing (Sullivan & Schoelles, 2013). According to Lyder (2003, p. 223), “pressure ulcers develop when persisting pressure on a bony site obstructs healthy capillary flow, leading to tissue necrosis.” Preventing pressure ulcers is important because it protects patients as well as reduces the cost of care ...

Patient safety is a critical element in the health care since it guarantees the wellbeing of a patient while receiving treatment and ensures their hospitalization period is short and free from any harm. Thus, it is the responsibility of nurses and other health practitioners to carry out frequent assessments of health facility status to assess the safety and quality of clinical practices. As such, research in a clinical setting is essential in identify problems which have the potential of diminishing wellness of the patients and provide solutions to address the identified clinical problem. Therefore, nurses have to advance their ...

Scene 1: At the Doctor’s Office

Doctor (D): Hi! Please come in and take a seat. Patient (P): Good morning, Doctor. Thanks.

D: How do you feel yourself today?

P: Better, but I’ve still got a stomach ache. D: Right. You see, when you came here 4 days ago and were unable to breathe on your own, we had to attach you to a respirator and ventilate your lungs in the ICU.

P: Yes, I remember that. But what is the ICU you are talking about?

D: ICU stands for the intensive care unit, which we use to treat seriously ill patients. You see, you were gasping for breath, and we had to put you in the ICU.

P: Got it. So what’s wrong with me?

D: I’m still not ...

Coursename Pressure ulcers are damaged areas of the skin, which develop due to the long-term effect of pressure or friction in the areas where the bone is close to the skin, such as heels, sacrum, ischial tuberosity, lateral malleoli and greater trochanters. The epidemiology of pressure ulcers proves that today, despite the profound understanding of them, pressure ulcers are still a serious global health care problem, which affects millions of people worldwide. For example, in the US every year more than 2.5 million people suffer from the pressure ulcers (Cuddigan, Berlowitz, and Ayello 208-215). In 2013 pressure ulcers caused ...

Age: 75 years

Medical Record No: 66543N History and physical examination conducted: June 21, 2016 Source: The patients presents his own medical history and is a reliable source Chief Complain presented: Abdominal pain The History of the Present Illness Past medical history The patient presents with diabetes diagnosed 10 years ago, that is well controlled with Metoprolol medication. He also presents with depression and the patient uses Prozac medication for depression management. Mr. X had been previously hospitalized in 2010 due to MI and cardiac catheterization was done therefore, the patient present with a positive history of surgery.

Social history

Family history The patient ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

According to the NHS complementary therapies, also referred to as complementary and alternative medicine, CAM, are interventions against ailments that do not fall under mainstream medicine. However, NHS purports that there is a difference between ‘complementary’ and ‘alternative’ therapies, although the terms are always used together. The National Center for Complementary and Integrative Health, NCCIH, gives a distinction between the two terms. A therapy is referred to as complementary when it is used alongside conventional medicine. Alternative therapy replaces conventional treatment, becoming the main intervention for a patient. This paper will focus on complementary therapies and how they impact ...

Implementation of the VAP project is a significant step aimed at ensuring that the objectives of giving patients outmost care, improvement of nursing practices and achieving desirable patient’s outcomes on the mechanically ventilated patients in the critical care unit are realized. Nevertheless, there is the need for making sure that all the relevant implementation stages have been followed and adequately taken into consideration. This will ensure any possible hitches that may affect project execution along the way are equally addressed. Additionally, it will be imperative that well-informed decisions are made with the intentions of ensuring that all the ...

Chamberlain College of Nursing

NR451 RN Capstone Course Term and Year The introduction of technology in the health industry helps medics to run services and procedures faster and safer. The reliance of technology in such services has grown over the past few decades, with hospitals investing heavily in upcoming technologies to increase their efficiency. Its benefits continue to make the industry grow with new medicines, vaccines and surgery procedures. It plays a major part in health care especially towards the weak, old or those in critical care. The medics can monitor their patients from the comfort of their home and provide effective medication ...

Background

Wound healing is one of the most important processes in maintaining the health of a person. Multiple factors affect wound healing in humans regardless of age. A partial list includes diabetes, hereditary healing disorders, obesity, drugs, alcoholism, smoking and compromised immune condition. Infection, stress, nutrition, and radiation therapy can also contribute to delayed or incomplete wound healing (Guo & DiPietro, 2010). In the start of a wound, an inflammatory response is initiated. Blood vessels expand, helping white blood cells and nutrients to reach the wound. Wound healing is achieved through the processes of hemostasis, inflammation, proliferation, and remodeling. Proper sequence ...

This paper is the first part critique of Bergquist-Beringer and Daley (2011)’s article on pressure ulcer (PU) prevention for use in home health care environments. It explores the following subsections.

Problem Statement

According to Grove and Burns (2011), a good problem statement describes the clinical and research problem as well as the study significance. These two elements introduce readers to the significance of the topic under analysis. It ensures a clear reader orientation to the problem as well as the framework that will be useful in the inference stage. Notably, Bergquist-Beringer and Daley (2011) have a clear clinical and research ...

Absrtact

The paper presents the definition, risk factors, and complications of type 2 diabetes mellitus. Type 2 diabetes is a chronic metabolic disease characterized by hyperglycaemia. The people with hyperlipidemia, family history of diabetes, and higher body mass index are in the high risk group. The common complications of type 2 diabetes are neurologic, ophthalmologic, foot ulcer or amputation, renal hypertension, coronary artery and chronic kidneay diseases. The results of the numerous trials, cases, and researches are presented. The modern understanding of anti-diabetes therapy includes pharmacological treatment, correction of the diet (calories restriction and adequate sodium intake), minimization of sedentary ...

Introduction: Gastric cancer is the second most leading cause of cancer associated deaths, worldwide. Japan, China, former USSR and certain countries in Latin America have reported highest incidence of stomach cancer. The high mortality rate of gastric cancer was reported in Eastern Asia and the lowest rate of gastric cancer was reported in North America. Nevertheless, it causes a worrisome level of mortality in the U.S. In 2010, gastric cancer or stomach cancer was responsible for 10,570 deaths in the United States, as estimated by National Cancer Institute. (National Cancer Institute, 2016) A majority (85%) of the gastric ...

Patient information

The patient under review is a 42 year old female Indian who is admitted into the emergency room presenting with acute gastrointestinal bleeding. Prior patient diagnosis reveals the patient had suffered from dental abscess and also a fractured tooth, which was subsequently treated with antibiotics. However, a tooth extraction procedure was carried out for the extraction of the tooth. Ensuing dental ache was treated with drugs purchased over the counter (OTC) including ibuprofen and acetaminophen before the medical prescription of Vicoprofen. The patient complains of nausea and headache in addition to vomiting copious amounts of a dark brown liquid ...

Problem Statement

Pressure ulcers have been regarded as an indicator for quality of care within the nursing context. Today it is part of the measurable aspects of patient outcomes for hospitalized patients. The adoption of the Affordable Care Act further placed measures that would help minimize the prevalence of pressure ulcers as a hospital acquired illness. This was in the knowledge that the costs of hospital acquired illnesses and pressure ulcers primarily was one of the major reasons towards the escalating costs of care even when the value for those costs could not be established. The ACA called for the increased ...

Pressure ulcers are injuries that break down the skin and any other underlying tissue. This happens especially when a part of the skin is placed under some pressure hence reducing blood flow to that part of the skin (Smith et Al., 2013). Lack of enough blood causes the skin to die causing an ulcer. Most patients get this kind of ulcer as a result of staying in bed for a long time. The symptoms of a pressure ulcer are: the skin on that part becomes red and later forming a blister and an open sore. It mostly occurs in ...

Annotated Bibliography

Conduct a literature review on your specific practicum topic to prepare for the annotated bibliography assignment Examine 7scholarly peer-reviewed journal articles based on the topic identified in the clinical assignment Previous Annotated Bibliography Identify Chaboyer, W., Mills, P. M., Roberts, S., & Latimer, S. (2015). Physical activity levels and torso orientations of hospitalized patients at risk of developing a pressure injury: An observational study. International Journal of Nursing Practice, 21(1), 11-17 7p. doi:10.1111/ijn.12188 The International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work related to nursing and focuses on professional dialogue and sound ...

PICOT question is an approach used to identify the components of any clinical issue. Pressure Ulcer that is also commonly referred to as bedsore is an injury of the skin or tissues caused by moisture, friction, and pressure. The disease arises when a patient does not have space for mobility or cannot change its position on his own by lying on the bed.

PICOT question for Pressure ulcers in the hospital is as follows:

Does turning and repositioning of critically ill patients after regular intervals help to prevent pressure ulcers as compared to pressure redistributing support surfaces?P: Critically ill patientsI:  Repositioning and Turning patient at regular intervalsC: Pressure redistributing support ...

QUANTITATIVE AND QUALITATIVE RESEARCH IN PREVENTION OF PRESSURE ULCERS IN HOSPITAL SETTINGS

Abstract Six journal articles detailing research with varying qualitative and quantitative data on pressure ulcer prevention was studied. Elliot (2010) claims that pressure ulcers and its interventions have significant impact on health-related quality of life and can be a heavy burden to the patient, the family and the health professionals involved. This is why health professionals must do more research on evidence-based interventions to be able to provide optimum care to their patients. Goreckiet al (2009) discovered that subject-specific search strategies could help health practitioners find good qualitative patient-reported data in pressure ulcer prevention. Nurses especially, must remember that ...

PICOT is a method that is usually used when one is to develop any questioned aimed at locating the appropriate evidence. The PICOT method for the Pressure ulcers can be formulated as follows. 1. The patients’ disease or population: the disease of discussion is pressure ulcers that affect many people around the globe. Pressure ulcers may affect areas such as the heel. This may lead to heel pressure ulcers. 2. Intervention: this is the issue of interest; take a type of pressure ulcers known as heel pressure ulcer, the issue of interest in this type of pressure ulcer in ...

Introduction

Every other day, new study get published in different prominent journals which highlight the importance of the study, the changes, costing, etc. Critical appraisal of a paper has the ability to adversely affect the quality, output, cost of care, especially when the proposed changes are not relevant to the study’s data. It also helps in pointing out the issues that need considerations and which are essential for making a decision. Based on the critics one can recommend or to not recommend an intervention. The purpose of Research critique is to discover whether the methods and results of the ...

The Relationship among Evidence-Based Practice and Client Dyspnea, Pain, Falls, andPressure Ulcer Outcomes in the Community Setting

Problem Statement/Purpose The article establishes the study aimed at investigating the relationship among evidence-based practice (EBP) and outcomes in case of client pain, dyspnea, falls and pressure ulcer found in the home care setting. In this regard EBP is set as “nursing interventions based on best practice guidelines” (Doran et al., 2014, p. 274). The research question is support by quantitative study in which data collection measures and procedures are supplied with structural and process variables as independent, which cause changes in outcome variables as dependent. The study purpose clearly addresses the health-related problem typical of contemporary home care ...

The nursing profession and the scope improvement in the care delivery process are expanding with the increase in knowledge, technology and discovery of new medicines. Pressure ulcers are still one of the major issues in nursing practice. Thus, with time passing by it is getting important for the nursing professionals to increase their awareness about the disease in order to apply right procedure and use right medication to deliver better care. Additionally, it is a major concern for both hospital staff and patients due to elongated hospital stay and increase in healthcare expenditure. The nurses are now relying on ...

Introduction

Pressure ulcers (PU) are also known as decubitus ulcers occur due to the presence of pressure on a particular location of the body for an elongated period of time leading to scarring or other skin injuries. They have been one of the major concerns for several years for nursing professionals especially in the intensive care units because the physical consequences associated with it ranges from mild to severe tissue damage. The major risk factors of HAPUs are long term immobility, old age, sensory deficiency, abnormal circulation, inadequate nutrition, dehydration and other comorbidities . Internationally, PU is a patient safety issue ...

Literature Review

A pressure ulcer or a hospital acquired ulcer is one of the rising concern in healthcare. It is a condition characterized by damage in the skin or the underlying tissue due to unwanted pressure, friction, or moisture applied on the skin. More commonly, patients get this health condition when they are unable to move, when they have delicate and brittle skin while hospitalized, or when certain equipment is used on them making them more susceptible to pressure ulcer . A hospital acquired pressure ulcer is sometimes referred as bedsore in layman’s term. Pressure ulcer became a major concern in ...

Healthcare professionals are responsible for not only facilitating recovery of a patient from health issues, but also preventing injuries to the patient during and after care. Despite the immense efforts by stakeholders in health to ensure safety of the patients under care, zero cases have not yet been achieved, as sentinel events are still a major challenge to patients and the healthcare industry. Park-Lee and Caffrey (2009) estimates that 9.2% of all people admitted in hospital acquire one or more nosocomial infections. The Joint Commission (2015) defines a sentinel event as an unexpected situation that leads to the physical ...

(the author’s name) (the institutional affiliation) The article establishes the study aimed at investigating the relationship among evidence-based practice (EBP) and outcomes in case of client pain, dyspnea, falls and pressure ulcer found in the home care setting. In this regard EBP is set as “nursing interventions based on best practice guidelines” (Doran et al., 2014, p. 274). The research question is support by quantitative study in which data collection measures and procedures are supplied with structural and process variables as independent, which cause changes in outcome variables as dependent. The study purpose clearly addresses the health-related problem ...

Body Systems

The 10 possible terms that might be involved in this case are: Muscular fatigue (Debility of muscles to generate force due to excessive spraining). Fibromyalgia (Situation of muscular stiffness and localized tenderness at specific points). Osteoarthritis (Situation of Severe joint pain and stiffness due to aging and body weight). Rheumatoid arthritis (Disease causing inflammation of joints causing pain and deformity) Tendinitis (Disease causing severe inflammation of tendons, which link muscles to bones). Spasm (Situation of sudden muscular contraction or that of a convulsive movement). Muscular Sprain (Accidental situation leading to torn or stretched ligaments). Hypertonia (Situation of abnormal increase ...

In the current healthcare settings, evidence based practice has been widely promoted. I have become aware on how evidence based practice can extensively improve patient outcomes by using evidence based practices in caring for patients with pressure ulcers through the wealth of information being available on the internet. There is no doubt that reading literatures can help improve the quality of patient care practices because the method used have been proven to be effective by obtaining evidences on what practices may be appropriate and ideal for certain conditions (Jette, et al., 2003). I always use evidence based practices when ...

- What was the topic for your presentation at the BCC Health Fair? (We had the topic for food and nutrition)

a. Was it difficult for you to speak to others to relay information? Answer – It was not difficult for me to speak to other to relay information as the BCC Health Fair was about something that I am passionate about and have my distinctive views on the subject of health, which I relayed at the fair with ease. b. What surprised you about the fair, in general? Answer – One of the attendees demonstrated ...

VENOUS STASIS ULCER

Venous stasis ulcers commonly occur in the legs due to venous insufficiency or poor venous blood drainage. Veins of the legs have valves in then which ensures a proper unidirectional flow of blood towards heart. In venous stasis, these valves are damaged, thus the venous blood accumulates in the legs instead of being pumped upwards. A prolonged pooling of blood in the leg leads to increased pressure in the affected area thus causing a break in the skin and causing ulcers. The causes for venous stasis could be smoking, occupations requiring prolonged hours of standing, obesity or deep vein thrombosis.

Clinical ...

Answers

- The differences between the cardiovascular diseases and the coronary heart diseases

The major differences between these two types of diseases relates to the vascular components of the cardiovascular system. This simply means that the cardiovascular diseases do not only involve the heart alone but also involves all the heart linked vessels. i.e all arteries, veins and lymphatics found to be associated with the heart and blood passes to and from the heart. However, the coronary heart diseases only relate to the vessels that are within the heart itself and supply the heart itself and also the muscles of ...

Aphthous stomatitis is also known as a canker sore. It is one of the most common mucosal lesions that dentists and physicians observe in patients. It is seen more commonly in females. No specific etiology has been documented for Aphthous stomatitis. However, some factors like auto antibodies, and vasculitis mediated by immune complex have been brought forward as possible etiological factors. Some factors that can precipitate it include stress, trauma, hormones, heredity and chemical irritants. (Casiglia, 2010). Certain food materials have also been implicated, including coffee, cheese, potatoes, figs, nuts, citrus and chocolate (Casiglia, 2010). Also, some nutrient deficiencies, like ...

The Pertinent Positives and Negatives on Examination related to his Presenting Problem

A pertinent positive is a symptom or sign that contributes to the identification of a patient’s medical problem. Pertinent negative refers to the absence of a symptom that can help in substantiating the medical condition from which a patient could be suffering. Pertinent positives and negatives are usually captured during the physical examination and after taking the medical history of a patient. The pertinent positives and negatives contribute towards the differential diagnosis of a patient. In the case study given, the pertinent positives include; Dyspnea, hematemesis, dark stool, epigastric pains, dyspepsia, duodenal ulcer, moderate epigastric tendering, and stool guaiac. On the other hand, ...

Question # 1

Describe a clinical case you have observed where there has been a multi-disciplinary approach to discharge planning. Describe how the interactions between the multi-disciplinary team impacted on the quality of the patient’s care. What have you learned from this experience about effective multi-disciplinary team working and how will you put this into practice as a foundation doctor?

Answer #1

While I was on rotation at a spinal cord injury unit, I came across a patient asking for an early discharge due to a personal commitment, despite an unfinished rehabilitation program, active bacterial gastroenteritis and a healing foot ulcer. I immediately took action, made notes and discussed ...

A Report

Introduction Care homes for the elderly people, who cannot take care of their own, have always had a significant role in provisions of health care in any society. This is the reason why the most suitable use and funding of health care in care homes has been a crucial subject of key health policy initiatives in the developed as well as developing societies over many years. Rejuvenation Personal Care Home is a facility that provides care to the older people who are unable to take care of themselves. There are several projects going on under this agency which deal with several ...

Comparison of Honey Treatment and Traditional Ointments in the Treatment of Pressure Ulcer: A Literature Review

As a natural remedy, honey has been used historically as a wound dressing globally. In addition to the low cost, clinical observations are suggesting that honey promotes sloughing of necrotic tissue, acceleration of wound healing, stimulation of cell growth, reduction of other inflammation, and addition healing properties. Studies are also showing antimicrobial actions. In this paper, a literature review of five articles published in reputable journals compares the use of honey-based ointments with traditional ointments in the effectiveness in the treatment of pressure ulcers. Yapucu Güneş & Eşer (2007) approaches the problem of wound management for pressure ulcers by assisting ...

Article Analysis

Abstract Introduction Methods First, all patients were admitted to the trial wards and those who met the inclusion criteria were considered. Secondly, the members were recommended by ward staff to the study nurses. Thirdly, the entry criteria included; age of 65 years and above; the pressure ulcer risk of 15 to 20 based on physiologic, demographic, and disease specific features and consent to regular examination of pressure areas. Also, the members were transferred to the trial beds after their consent was sought. In addition, the exclusion criteria were employed such as obesity greater than 155 kilograms, ...

Introduction

Decubitus ulcer also referred to as bedsore or pressure sore is an open wound on the skin (Thomas, 2006). Thomas (2006) indicates that the decubitus ulcer mostly occurs on the skin that covers the born areas. Notably, the most common areas for bedsore to appear are; hips, ankles, back and buttocks. Decubitus ulcer are common among the disabled, elderly and those people who spend long periods of time on wheelchairs or bed, and those who are not able to move certain parts of their body without assistance (Thomas, 2006). In keeping with Albert and Spencer (2007), decubitus ulcers/ bedsores ...

Consumption of 17g of arginine for two weeks has been found to enhance collagen production, according to a recent study (Crowe & Brockbank, 2009). But, what is a wound? Brown (2013) suggests that wounds are injuries on tissues or the skin, and are prominent in bony areas. Various factors contribute to the development of wounds, but this paper will evaluate the role of calorie malnutrition. This paper examines how high calorie diet promotes wound healing. Enteral and oral nutritional support is of vital significance according to Crowe and Brockbank (2009). A randomized study that was centered on arginine analyzed how nutritional ...

Dietary plan for Mrs. Crites

It is important for us to understand that there is no specific meal plan that suits all skin conditions. This simply tells us that there are certain meal plans that work for certain skin condition. This indicates that there are certain types of diet or meal plan that best suits Betty Crites skin condition that is found to be showing the signs of stage 1 pressure ulcers. An ulcer that is related to the effect of reduced mobility the patient has as a challenge resulting from the lifestyle of an unskilled long term care. Her chronic conditions of hypertension that ...

A wound can be described in several ways i.e. by its aetiology, anatomical location or whether it is acute or chronic. However, these definitions, serve a critical role in the assessment and proper management of the wounds. An actual account, its definition can be broken down into the skin’s protective functions: continuous epithelium loss with or without connective tissues being loosed. This is as a result of an injury caused to the skin by either surgery, blow, cut or even chemicals. A wound can also be said to be any type of an injury that causes harm to the skin. ...

Scenario: “A nurse is assessing a client who reports pain in the leg that is aggravated upon walking. The client also has a small ulcer located at the end of the toe. The nurse suspects the client to have arterial insufficiency.” Given that small ulcer at the toe may be as a result of poor blood flow to the client’s leg, the nurse should examine the client’s medical history in order to determine the cause of pain in the leg. The nurse should pay more attention to what caused arterial insufficiency to the client’s leg. Lack of blood ...

Introduction

The simulated experiment of the practical is about the addition of agonists and antagonists on a guinea pig ileum and observing the effect of these agonists and antagonists on the ileum. This experiment is carried out with an aim to determine the effects of different concentrations of agonists and antagonists on the ileum of a guinea pig. In this experiment the type of data that are to be collected include the traces of acetycholine in the guinea pig ileum on addition of different concentrations of matropine. The expected values of the experiment are that the contraction of the ileum to change ...

Abstract

Adequate nutrition is required for optimal wound healing. The normal processes that allow the progress of wound healing are disrupted due to nutritional deficiencies. Increased infection rates and decreased wound tensile strength are associated with malnutrition. Chronic on-healing wounds are formed in malnourished patients or individuals. Such patients can develop infections, pressure ulcers, and delayed wound healing. Morbidity and mortality among malnourished patients with chronic wounds constitute a serious clinical concern. Wound healing is considered as a complex process. It is the process of replacing injured tissue with new tissue (produced by the body). Production of new tissue is associated with ...

[Author][Professor][Subject][Date of Submission] 1) Stress is a normal occurrence but what it does to human body is not normal at all. It can cause death. As presented in the documentary film “Stress: A Portrait of a Killer,” stress shuts down a person’s immune system that in return, activates bad bacteria inside the body that can cause several kinds of diseases. When people are anticipating stress, it shuts down some of the essential biological function. This is also the same with Zebra as when they face stress, they momentarily shuts down or even damage their other biological function. ...

Application of the Nursing Process

Part 1 Nursing process is a systematic, organised, and holistic patient-centred approach in delivering care to patients. The nursing process has five steps that include assessment, diagnosis, planning, implementation, and evaluation. The second step in the nursing process is diagnosis. In this step, registered nurses make clinical judgments based on data gathered in the assessment step about the client’s health problem and the potential health problem of the client. Nurses also make judgements on the ability of the clients to adopt practices that can improve their health. For instance, the assessment of the old man in the ...

1984 by George Orwell

Introduction

In 1984 by George Orwell, the lead character Winston Smith works at the Ministry of Truth based in London the main city of Airstrip One. Big Brother gazes from every poster and the Thought Police uncovers all acts of betrayal. When Winston Smith develops feelings for Julia, he experiences changes in his deadening and dull life as he opens up to new and optimistic possibilities. Despite police helicopters hovering and circling overhead, Julia and Winston start to question the motives of the Party and get drawn towards conspiracy. 1984 is the frightening story of a possible ...

Industrial Organization

Industrial organization refers to how the markets and industries are organized. In this case, the workings of such markets and/or industries are studied, particularly the way the firms in such industries compete with each other. Industrial organization is widely considered as a subject of microeconomics. However, it is imperative to consider it as a separate entity since it tends to emphasize on the study of strategies that firms utilize as a characteristic of interactions in the market. Such market interactions include product positioning, competition in pricing, research and innovation, advertisements, among many other factors. Further, it is important to note that industrial ...

Abstract

Cancer is one of the most dreaded diseases of all time. It was considered as a disease that cannot be remedied except for the medical breakthroughs in the past half century. So deep is cancer’s fear that it instills depression in its sufferers as soon as its name is mentioned. However, thanks to medical breakthroughs it is curable and the media emphasizes on this night and day. What is cancer and how does it spread, what are its kinds and how it influences the society? An attempt has been made answer these questions in the following article. Keywords: ...

(Professional/nursing care plan)

Introduction

- A brief introduction to setting and the chronic health condition

Critical application of a chronic disease model of care used to inform self-management.

Articulation of short and long term goals. Identification and critical examination of specific strategies/interventions to support self-management. Identification of the tasks/actions necessary to complete each strategy, as well as who will Conclusion - Examination of the effectiveness of the self-management plan (i.e. how the achievement of goals will be evaluated)

Abstract

This report contains a self-management care plan for a diabetic patient with an associating chronic condition. A brief introduction to the setting and chronic health condition will be outlined. Critical application of the ...

Nursing Home Setting

Effective Communication in a Nursing Home Setting This paper will discuss a nursing home organization that has a traditional hierarchical structure. With vertical hierarchical structures everyone except the Chief Operating Officer at the top of the pyramid has a manager or team leader to whom they are accountable (Bianca, 2013). Traditionally, having such a structure is associated with clear reporting structures and authority and clear communication of organizational policy from the top of the organization down. Clarity within these two important organizational areas is perceived as an advantage to the vertical hierarchical structure (Bianca, 2013). This is at least partially true within the ...

CRITICAL THINKING

Critical Thinking Part 1 Question 1 I would like to agree that Mr. C should undergo a bariatric surgery. He has been suffering from obesity for quite some time. Being a 32-year old man makes him be susceptible for other obesity-related diseases. He has not been able to carry out a rigorous physical exercise because of the nature of his job at the catalog telephone center. I am therefore strongly convinced that he can only be relieved after a successful carrying out of this surgical procedure. It will offer him a long-term solution for his condition (Pool, R., 2001). On ...

A 25 year old female presents herself to a dermatologic clinic complaining of persistent rashes on her upper back and legs. Severe pruritus (itching) is also present. In addition, the patient also complains of diaphoresis (Excessive sweating) at night. She claims that these symptoms have been prevalent for the past 4 weeks and have been progressively becoming worse. The patient had tried using over-the counter antifungal lotion (Ammonium lactate) and Lamisil cream. The medical history of this patient includes instances of facial acne which she usually controls through regular demabrasion, and also has a history of pediculosis during her childhood days ...

Value Based PurchasingIntroduction

2007 is considered to be a very important year in the medical field for both medical institutions and patients. This is a time when these Centers that provide both Medicare and Medicaid services (C.M.S) embarked on initiating a program that would ensure higher quality practices in the field (Dlugacz, 2009). The program was dubbed the value-based purchasing program (Dlugacz, 2009). This program was initiated I a bid to directly connect the efforts made by both Medicare and Medicaid facilities towards ensuring quality care for their patients. In order to measure and also achieve the higher quality expected, the value-based purchasing program was ...